| Payment ID | 121230 |
|---|---|
| Date Created | 09/30/25 4:52 pm |
| Created By | Gloria Jimenez |
| Service Request | 121007 |
| Application ID | 116716 |
| Authorization Number | 227082 |
| Applicant Information | |
| Name | megan ziegenfuss |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170505520 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Delta Inn |
| Location Contact Name | Crystal |
| Location Email Address | Email hidden; Javascript is required. |
| Start Day | Monday |
| Guests | 1 |
| From | 09/25/2025 |
| To | 09/30/2025 |
| Days | 5 |
| Payment Details | |
| Payment Amount | $357.15 |
| Receipt Amount | $534.00 |
| Receipt Date | 09/30/2025 |
| Comments | Hotel stay at Delta Inn |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | SJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/30/2025 |
Housing Stability Services Program
Available 24/7
Housing Stability Services Program
Available 24/7
Funded by Texas Department of Housing and Community Affairs
Funded by Texas Department of Housing and Community Affairs